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Over the two-day period of the asthma crisis, Western Health EDs saw more than 1200 patients about three times more than normal. Just before 7pm, Ambulance Victoria's executive director of emergency operations, Mick Stephenson, took a call from his Metropolitan West director to say there were no vehicles left to dispatch in the west, even for the most critical of cases. By 8pm, across the city, there were 150 jobs, 100 of them Code 1, pending. Of the nine people who lost their lives in the epidemic, it is believed that at least two died while waiting for an ambulance, including 20-year-old Hope Carnevali, who died on the front lawn of her home in Hoppers Crossing, about 30 kilometres south-west of Melbourne's CBD. Experts believe that, until November 21, 2016, the world's only known thunderstorm-associated asthma death was in the UK in 2002. Several Australian thunderstorm asthma events have been recorded over the years, always in spring when the pollen load is at its greatest, but newspaper archive searches reveal only a few small reports: 154 cases of asthma presenting at Melbourne hospitals in 1987, the first time the term "thunderstorm asthma" seems to have been used; two people requiring intubation and artificial ventilation in Wagga Wagga in 1997; more than 300 respiratory casesrequiring ambulances after a thunderstorm in Melbourne in November, 2010. Ahead of spring 2011, three Melbourne respiratory specialists co-signed a letter to the Medical Journal of Australia warning of the thunderstorm asthma season's approach, but it passed without incident and the letter into archives. In the aftermath of last November's event, doctor home loan australia Oak Laurel 0430129662 some health professionals confessed they'd never even heard of the phenomenon, an almost supernatural conflation of sciences: meteorology, physics, botany, medicine and demography. Thunderstorm asthma remains an interdisciplinary detective story. First, though, it's a health emergency.